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https://www.readbyqxmd.com/read/27910751/recent-advances-in-pharmacotherapeutic-paradigm-of-mild-to-recalcitrant-atopic-dermatitis
#1
Zahid Hussain, Shariza Sahudin, Hnin Ei Thu, Ahmad Nazrun Shuid, Syed Nasir Abbas Bukhari, Endang Kumolosasi
Atopic dermatitis (AD) is a common, chronic skin inflammatory disorder characterized by perivascular infiltration of immunoglobulin E (IgE), T lymphocytes, and mast cells. The key factors responsible for the pathophysiology of this disease are immunological disorders and defects in epidermal barrier properties. Pruritus, intense itching, psychological stress, deprived physical and mental performance, and sleep disturbance are the hallmark features of this dermatological disorder. Preventive interventions such as educational programs, avoidance of allergens, and exclusive care toward the skin could play a partial role in suppressing the symptoms...
2016: Critical Reviews in Therapeutic Drug Carrier Systems
https://www.readbyqxmd.com/read/27739895/an-official-american-thoracic-society-research-statement-implementation-science-in-pulmonary-critical-care-and-sleep-medicine
#2
Curtis H Weiss, Jerry A Krishnan, David H Au, Bruce G Bender, Shannon S Carson, Adithya Cattamanchi, Michelle M Cloutier, Colin R Cooke, Karen Erickson, Maureen George, Joe K Gerald, Lynn B Gerald, Christopher H Goss, Michael K Gould, Robert Hyzy, Jeremy M Kahn, Brian S Mittman, Erika M Mosesón, Richard A Mularski, Sairam Parthasarathy, Sanjay R Patel, Cynthia S Rand, Nancy S Redeker, Theodore F Reiss, Kristin A Riekert, Gordon D Rubenfeld, Judith A Tate, Kevin C Wilson, Carey C Thomson
BACKGROUND: Many advances in health care fail to reach patients. Implementation science is the study of novel approaches to mitigate this evidence-to-practice gap. METHODS: The American Thoracic Society (ATS) created a multidisciplinary ad hoc committee to develop a research statement on implementation science in pulmonary, critical care, and sleep medicine. The committee used an iterative consensus process to define implementation science and review the use of conceptual frameworks to guide implementation science for the pulmonary, critical care, and sleep community and to explore how professional medical societies such as the ATS can promote implementation science...
October 15, 2016: American Journal of Respiratory and Critical Care Medicine
https://www.readbyqxmd.com/read/27732789/obstructive-sleep-apnea-update-and-future
#3
Diane C Lim, Allan I Pack
Obstructive sleep apnea (OSA) is a worldwide disease whose prevalence is increasing as obesity rates increase. The link between obesity and OSA is likely to be the deposition of fat in the tongue, compromising upper airway size. The role of obesity varies in different ethnic groups, with Chinese being particularly sensitive to increases in weight. OSA lends itself to a personalized approach to diagnosis and therapy. For example, different clinical OSA subtypes likely benefit from therapy in different ways. Hypoglossal nerve stimulation is a useful second-line therapy in patients who cannot tolerate continous positive airway pressure (CPAP) machines or intraoral devices...
October 5, 2016: Annual Review of Medicine
https://www.readbyqxmd.com/read/27250809/recommended-amount-of-sleep-for-pediatric-populations-a-consensus-statement-of-the-american-academy-of-sleep-medicine
#4
Shalini Paruthi, Lee J Brooks, Carolyn D'Ambrosio, Wendy A Hall, Suresh Kotagal, Robin M Lloyd, Beth A Malow, Kiran Maski, Cynthia Nichols, Stuart F Quan, Carol L Rosen, Matthew M Troester, Merrill S Wise
Sleep is essential for optimal health in children and adolescents. Members of the American Academy of Sleep Medicine developed consensus recommendations for the amount of sleep needed to promote optimal health in children and adolescents using a modified RAND Appropriateness Method. The recommendations are summarized here. A manuscript detailing the conference proceedings and the evidence supporting these recommendations will be published in the Journal of Clinical Sleep Medicine.
June 15, 2016: Journal of Clinical Sleep Medicine: JCSM: Official Publication of the American Academy of Sleep Medicine
https://www.readbyqxmd.com/read/26880252/effects-of-acupuncture-tuina-tai-chi-qigong-and-traditional-chinese-medicine-five-element-music-therapy-on-symptom-management-and-quality-of-life-for-cancer-patients-a-meta-analysis
#5
Wei-Wei Tao, Hua Jiang, Xiao-Mei Tao, Ping Jiang, Li-Yan Sha, Xian-Ce Sun
CONTEXT: Most cancer patients suffer from both the disease itself and symptoms induced by conventional treatment. Available literature on the clinical effects on cancer patients of acupuncture, Tuina, Tai Chi, Qigong, and Traditional Chinese Medicine Five-Element Music Therapy (TCM-FEMT) reports controversial results. OBJECTIVES: The primary objective of this meta-analysis was to evaluate the effect of acupuncture, Tuina, Tai Chi, Qigong, and TCM-FEMT on various symptoms and quality of life (QOL) in patients with cancer; risk of bias for the selected trials also was assessed...
April 2016: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/26439374/non-pharmacological-interventions-for-sleep-promotion-in-the-intensive-care-unit
#6
REVIEW
Rong-Fang Hu, Xiao-Ying Jiang, Junmin Chen, Zhiyong Zeng, Xiao Y Chen, Yueping Li, Xin Huining, David J W Evans
BACKGROUND: Adults in intensive care units (ICUs) often suffer from a lack of sleep or frequent sleep disruptions. Non-pharmacological interventions can improve the duration and quality of sleep and decrease the risk of sleep disturbance, delirium, post-traumatic stress disorder (PTSD), and the length of stay in the ICU. However, there is no clear evidence of the effectiveness and harms of different non-pharmacological interventions for sleep promotion in adults admitted to the ICU. OBJECTIVES: To assess the efficacy of non-pharmacological interventions for sleep promotion in critically ill adults in the ICU...
2015: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/26381728/updates-in-perioperative-medicine
#7
REVIEW
Suparna Dutta, Steven L Cohn, Kurt J Pfeifer, Barbara A Slawski, Gerald W Smetana, Amir K Jaffer
BACKGROUND: As our surgical population becomes older and more medically complex, knowledge of the most recent perioperative literature is necessary to optimize perioperative care. We aim to summarize and critique literature published over the past year with the highest potential to impact the clinical practice of perioperative medicine. METHODS: We reviewed articles published between January 2014 and April 2015, identified via MEDLINE search. The final 10 articles selected were determined by consensus among all authors, with criteria for inclusion including scientific rigor and relevance to perioperative medicine practice...
March 2016: Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine
https://www.readbyqxmd.com/read/26063688/a-multicentre-randomised-controlled-trial-and-economic-evaluation-of-continuous-positive-airway-pressure-for-the-treatment-of-obstructive-sleep-apnoea-syndrome-in-older-people-predict
#8
RANDOMIZED CONTROLLED TRIAL
Alison McMillan, Daniel J Bratton, Rita Faria, Magda Laskawiec-Szkonter, Susan Griffin, Robert J Davies, Andrew J Nunn, John R Stradling, Renata L Riha, Mary J Morrell
BACKGROUND: The therapeutic and economic benefits of continuous positive airway pressure (CPAP) for the treatment of obstructive sleep apnoea syndrome (OSAS) have been established in middle-aged people. In older people there is a lack of evidence. OBJECTIVE: To determine the clinical efficacy of CPAP in older people with OSAS and to establish its cost-effectiveness. DESIGN: A randomised, parallel, investigator-blinded multicentre trial with within-trial and model-based cost-effectiveness analysis...
June 2015: Health Technology Assessment: HTA
https://www.readbyqxmd.com/read/26039963/recommended-amount-of-sleep-for-a-healthy-adult-a-joint-consensus-statement-of-the-american-academy-of-sleep-medicine-and-sleep-research-society
#9
Nathaniel F Watson, M Safwan Badr, Gregory Belenky, Donald L Bliwise, Orfeu M Buxton, Daniel Buysse, David F Dinges, James Gangwisch, Michael A Grandner, Clete Kushida, Raman K Malhotra, Jennifer L Martin, Sanjay R Patel, Stuart F Quan, Esra Tasali
Sleep is essential for optimal health. The American Academy of Sleep Medicine (AASM) and Sleep Research Society (SRS) developed a consensus recommendation for the amount of sleep needed to promote optimal health in adults, using a modified RAND Appropriateness Method process. The recommendation is summarized here. A manuscript detailing the conference proceedings and evidence supporting the final recommendation statement will be published in SLEEP and the Journal of Clinical Sleep Medicine.
2015: Sleep
https://www.readbyqxmd.com/read/25979105/recommended-amount-of-sleep-for-a-healthy-adult-a-joint-consensus-statement-of-the-american-academy-of-sleep-medicine-and-sleep-research-society
#10
Nathaniel F Watson, M Safwan Badr, Gregory Belenky, Donald L Bliwise, Orfeu M Buxton, Daniel Buysse, David F Dinges, James Gangwisch, Michael A Grandner, Clete Kushida, Raman K Malhotra, Jennifer L Martin, Sanjay R Patel, Stuart F Quan, Esra Tasali, Michael Twery, Janet B Croft, Elise Maher, Jerome A Barrett, Sherene M Thomas, Jonathan L Heald
Sleep is essential for optimal health. The American Academy of Sleep Medicine (AASM) and Sleep Research Society (SRS) developed a consensus recommendation for the amount of sleep needed to promote optimal health in adults, using a modified RAND Appropriateness Method process. The recommendation is summarized here. A manuscript detailing the conference proceedings and evidence supporting the final recommendation statement will be published in SLEEP and the Journal of Clinical Sleep Medicine.
June 2015: Journal of Clinical Sleep Medicine: JCSM: Official Publication of the American Academy of Sleep Medicine
https://www.readbyqxmd.com/read/25505022/personalized-integrative-oncology-targeted-approaches-for-optimal-outcomes-the-11th-international-conference-of-the-society-for-integrative-oncology
#11
Richard T Lee, Peiying Yang, Heather Greenlee, Susan Bauer-Wu, Lynda G Balneaves, Suzanna Zick
The 11th International Conference of the Society for Integrative Oncology (SIO) brought together more than 300 clinicians, researchers, patients, and advocates to hear and interact with world-leading experts about the latest research in the areas of nutrition, exercise, acupuncture, health services research, meditation, and other integrative disciplines. The conference theme, "Personalized Integrative Oncology: Targeted Approaches for Optimal Outcomes," highlighted innovations in personalized medicine and ways this growing field will advance the evolution of individualized integrative cancer care to the next level...
January 2015: Integrative Cancer Therapies
https://www.readbyqxmd.com/read/25359435/clinical-effectiveness-and-cost-effectiveness-results-from-the-randomised-controlled-trial-of-oral-mandibular-advancement-devices-for-obstructive-sleep-apnoea-hypopnoea-tomado-and-long-term-economic-analysis-of-oral-devices-and-continuous-positive-airway-pressure
#12
RANDOMIZED CONTROLLED TRIAL
Linda Sharples, Matthew Glover, Abigail Clutterbuck-James, Maxine Bennett, Jake Jordan, Rebecca Chadwick, Marcus Pittman, Clare East, Malcolm Cameron, Mike Davies, Nick Oscroft, Ian Smith, Mary Morrell, Julia Fox-Rushby, Timothy Quinnell
BACKGROUND: Obstructive sleep apnoea-hypopnoea (OSAH) causes excessive daytime sleepiness (EDS), impairs quality of life (QoL) and increases cardiovascular disease and road traffic accident risks. Continuous positive airway pressure (CPAP) treatment is clinically effective but undermined by intolerance, and its cost-effectiveness is borderline in milder cases. Mandibular advancement devices (MADs) are another option, but evidence is lacking regarding their clinical effectiveness and cost-effectiveness in milder disease...
October 2014: Health Technology Assessment: HTA
https://www.readbyqxmd.com/read/24575995/career-development-for-the-clinician-educator-optimizing-impact-and-maximizing-success
#13
David H Roberts, Richard M Schwartzstein, Steven E Weinberger
Health care professionals in pulmonary, critical care, and sleep medicine play key roles as teachers for learners of all levels in both clinical care and scientific investigation. Teaching excellence requires training in principles of adult learning and the acquisition and practice of key professional skills including assessment and feedback techniques, curriculum development, and strategies for effective teaching across venues ranging from the bedside to the lecture hall. Those interested in pursuing teaching as the focus of their academic career and basis for promotion should invest in professional development as a teacher and educator...
February 2014: Annals of the American Thoracic Society
https://www.readbyqxmd.com/read/24532993/frequency-and-accuracy-of-rera-and-rdi-terms-in-the-journal-of-clinical-sleep-medicine-from-2006-through-2012
#14
EDITORIAL
Barry Krakow, Jacoby Krakow, Victor A Ulibarri, Natalia D McIver
No abstract text is available yet for this article.
February 15, 2014: Journal of Clinical Sleep Medicine: JCSM: Official Publication of the American Academy of Sleep Medicine
https://www.readbyqxmd.com/read/23825812/the-role-of-melatonin-in-anaesthesia-and-critical-care
#15
Madhuri S Kurdi, Tushar Patel
Melatonin is a neurohormone secreted by the pineal gland. It is widely present in both plant and animal sources. In several countries, it is sold over the counter as tablets and as food supplement or additive. Currently, it is most often used to prevent jet lag and to induce sleep. It has been and is being used in several clinical trials with different therapeutic approaches. It has sedative, analgesic, anti-inflammatory, anti-oxidative and chronobiotic effects. In the present review, the potential therapeutic benefits of melatonin in anaesthesia and critical care are presented...
March 2013: Indian Journal of Anaesthesia
https://www.readbyqxmd.com/read/23758234/clinical-practice-acute-high-altitude-illnesses
#16
REVIEW
Peter Bärtsch, Erik R Swenson
A 45-year-old healthy man wishes to climb Mount Kilimanjaro (5895 m) in a 5-day period, starting at 1800 m. The results of a recent exercise stress test were normal; he runs 10 km 4 or 5 times per week and finished a marathon in less than 4 hours last year. He wants to know how he can prevent becoming ill at high altitude and whether training or sleeping under normobaric hypoxic conditions in the weeks before the ascent would be helpful. What would you advise?
June 13, 2013: New England Journal of Medicine
https://www.readbyqxmd.com/read/23700366/mood-disorders-and-complementary-and-alternative-medicine-a-literature-review
#17
Naseem Akhtar Qureshi, Abdullah Mohammed Al-Bedah
Mood disorders are a major public health problem and are associated with considerable burden of disease, suicides, physical comorbidities, high economic costs, and poor quality of life. Approximately 30%-40% of patients with major depression have only a partial response to available pharmacological and psychotherapeutic interventions. Complementary and alternative medicine (CAM) has been used either alone or in combination with conventional therapies in patients with mood disorders. This review of the literature examines evidence-based data on the use of CAM in mood disorders...
2013: Neuropsychiatric Disease and Treatment
https://www.readbyqxmd.com/read/23699072/implementation-of-a-positive-airway-pressure-pap-grading-system-improved-percentage-of-optimal-pap-titrations
#18
Sarah Smith, Valerie Karres, Melissa Curran, Jaspal Singh
SESSION TYPE: Sleep IIIPRESENTED ON: Wednesday, October 24, 2012 at 02:45 PM - 04:15 PMPURPOSE: Demonstrate improvement in quality of overnight PAP titration studies performed in multiple sleep centers using the AASM PAP Titration grading system to validate PAP titration effectiveness.METHODS: PAP titration data was collected from 9,337 full PSG titration studies performed from 2008 through 2011. All titrations were performed using Respironic's Omni-Lab Clinical PAP devices and Compumedic's E-series PSG systems...
October 1, 2012: Chest
https://www.readbyqxmd.com/read/23519068/burn-center-journal-club-promotes-clinical-research-continuing-education-and-evidence-based-practice
#19
Laura Fowler, Michele M Gottschlich, Richard J Kagan
The purpose of this study was to characterize the structure, policy, implementation, and outcome measures of a burn team journal club to assess its effectiveness in promoting multidisciplinary education relative to research competency, clinical knowledge, and evidence-based practice. After 2 years of a new multidisciplinary format, an anonymous quality assurance survey was distributed to staff members of a regional pediatric burn center to evaluate the impact of the journal club on clinical and research indicators...
March 2013: Journal of Burn Care & Research: Official Publication of the American Burn Association
https://www.readbyqxmd.com/read/23448120/integrative-care-for-pediatric-patients-with-pain
#20
Lari Young, Kathi J Kemper
OBJECTIVES: Although pediatric patients with chronic pain often turn to complementary therapies, little is known about patients who seek academic integrative pediatric care. DESIGN: The study design comprised abstraction of intake forms and physician records from new patients whose primary concern was pain. SETTING/LOCATION: The study setting was an academic pediatric clinic between January 2010 and December 2011. SUBJECTS: Of the 110 new patients, 49 (45%) had a primary concern about headache (20), abdominal pain (18), or musculoskeletal pain (11)...
July 2013: Journal of Alternative and Complementary Medicine: Research on Paradigm, Practice, and Policy
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